Power Of Attorney Affidavit Of Support

Power Of Attorney Affidavit Of Support

I, [Your Name], residing at [Your Company Address], being duly sworn, with this state the following:

I am a citizen of [State], born on [Date of Birth]. I am currently employed by [Your Company Name] located at [Your Company Address]. My direct contact information is as follows:


Email - [Your Company Email]
Phone - [Your Company Number]

This affidavit is made in support of [Applicant's Full Name] to grant them Power of Attorney. I have known the Applicant for [Number years/months], and we share a relationship described as [Nature of Relationship]. I confidently attest to their integrity, capability, and trustworthiness to act as my Attorney-in-Fact.

The following points summarize my commitment and understanding regarding this Power of Attorney:

  • The Applicant will have the authority to manage, handle, and dispose of my assets, properties, and financial affairs as necessary.

  • The Applicant is authorized to make health care decisions on my behalf, including but not limited to consenting to medical treatment or refusing thereof.

  • This authority will remain in effect until such a time that I revoke it in writing or until my passing.

In support of this affidavit, I am submitting copies of the following documents:

  • My valid government-issued identification

  • Proof of my current residence

  • Proof of employment

  • Any other relevant documents as required

By signing below, I declare under penalty of perjury under the laws of [State] that the preceding is true and correct to the best of my knowledge and belief.

[Your Name]

[DATE SIGNED]

Affidavit of Support Templates @ Template.net